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Preparation and recovery

Your first two years,
and beyond.

What to expect before your procedure, on the day, through the two years of follow-up and aftercare and the 3+ years of support after that, all included in your procedure price. You'll also see who on your care team is responsible for each stage.

Weeks beforeBefore

Assessments, bloodwork, a meal plan, and readiness support. Getting ready

Day 0During

Your procedure at Clinic 360 in Leaside, Toronto, with your SmartSleeveMD surgeon.

Two years, then 3+ moreAfter

Scheduled follow-up through year two, then medical, nutrition, and behavioural support. The schedule

Stage by stage

Where you'll be, and what your team is doing.

ConsultationStage 1 of 8
Before anything

A conversation, not a commitment.

Where you'll be

  • A free consultation, by video or in person
  • We review your weight history and what you've already tried
  • You hear which options fit, and which don't

What your team is doing

  • A surgeon reviews your candidacy
  • Our coordinator explains costs and financing
  • You get written information to take home
SurgeonPatient care coordinator

Throughout: a direct line to your care coordinator, and virtual follow-ups wherever you live in Ontario.

Before and after, with WeightSimple

Your care doesn't start at surgery, and it doesn't end there.

Our medical partner WeightSimple runs the virtual side of your care. Its obesity medicine physicians, registered dietitians, and psychologist work alongside your SmartSleeveMD surgeon on both sides of your procedure.

Before your procedure

Getting you ready

  • Medical optimization. Obesity medicine physicians review your health, manage conditions like diabetes or blood pressure, and adjust medication where clinically indicated.
  • Nutrition preparation. A registered dietitian builds your custom meal plan and your pre-procedure diet.
  • Behavioural readiness. A registered psychologist helps you prepare for how eating and routines will change.
  • Surgical planning. Your surgeon reviews everything WeightSimple has gathered before confirming your procedure.
After your procedure

Keeping you on track

  • Remote patient monitoring. Connected devices share your progress with your care team between visits, so changes are noticed early.
  • Dietitian follow-up. Guidance through every diet stage, then meal plans for the long term.
  • Behavioural support. Ongoing psychologist support for habits, triggers, and emotional eating, with psychiatry available if needed.
  • Surgeon follow-up. Scheduled reviews with your SmartSleeveMD surgeon, virtually or in person in Brampton or Mississauga.

Your follow-up and support schedule

Scheduled follow-up and aftercare run through your first two years. Years 3 to 5+ are support, not scheduled follow-up. All of it is included in your procedure price.

  1. 1 to 2 weeksSymptom check and how you're tolerating your diet
  2. 6 weeksWeight check and nutrition assessment
  3. 3 monthsProgress review against your goals
  4. 6 monthsWeight and metabolic evaluation
  5. 12 monthsFormal outcomes review with your surgeon
  6. Year 2Continued follow-up and aftercare, included with your procedure
  7. Years 3 to 5+Medical, nutrition, and behavioural support, also included. Not scheduled follow-up visits.

Learn more about WeightSimpleWhat your procedure price includes

Who does what

SmartSleeveMD, WeightSimple, and Clinic 360, working as one team.

Team
BeforeWeeks leading up
DuringProcedure day
After5+ years, included in your price
SmartSleeveMD surgeonsYour procedure team
  • Consultation and candidacy review
  • Pre-procedure gastroscopy where required
  • Final surgical plan
  • Performs your procedure
  • Reviews your recovery before discharge
  • Follow-up at 1 to 2 weeks, 6 weeks, 3, 6 and 12 months
  • Continued follow-up through year two
  • Virtual or in person in Brampton or Mississauga
WeightSimplePhysicians, dietitians, psychologist
  • Medical and medication optimization
  • Custom meal plan and pre-procedure diet
  • Behavioural readiness
  • Your care plan is shared so follow-up starts right away
  • Remote patient monitoring
  • Dietitian and psychologist follow-up
  • Medication management if clinically indicated
  • Support, rather than scheduled follow-up, in years 3 to 5+
Clinic 360Surgical facility, Leaside
  • Anesthesia assessment
  • Procedure-day planning and instructions
  • Surgical suite, anesthesia and nursing care
  • Monitored recovery, with overnight stay if needed
  • Discharge instructions
  • A clear path back to your team if concerns arise

Weeks leading up

SmartSleeveMD surgeonsYour procedure team

  • Consultation and candidacy review
  • Pre-procedure gastroscopy where required
  • Final surgical plan

WeightSimplePhysicians, dietitians, psychologist

  • Medical and medication optimization
  • Custom meal plan and pre-procedure diet
  • Behavioural readiness

Clinic 360Surgical facility, Leaside

  • Anesthesia assessment
  • Procedure-day planning and instructions
Recovery, for an endoscopic sleeve

Days, not weeks.

Day 0

Your procedure takes place at our partner facility, Clinic 360 in Toronto. Most patients go home the same day with a companion. Some stay overnight for monitoring.

Days 1 to 3

Most ESG patients are back to desk work. Mild nausea or discomfort is expected and managed with medication.

Weeks 1 to 6

Your dietitian guides you from liquids to soft foods to regular meals, one stage at a time.

Month 2 onward

Regular follow-ups, nutrition coaching, and medication review if clinically indicated.

Surgical procedures (LSG, RYGB, SADI) involve a longer recovery. Your surgeon will walk you through the plan for your procedure. Each procedure page shows its own recovery.

Getting ready

In the weeks before your procedure

Your care team will give you a written plan. It typically covers:

Medical workup

Bloodwork and any testing your physician orders, a review of your current medications, and a check of conditions such as sleep apnea, reflux, or diabetes.

Your pre-procedure diet

Your dietitian sets out what to eat in the lead-up to your procedure and why. Follow the plan you're given, since it's specific to your procedure and health.

Readiness and support at home

A behavioural health consultation, a talk about the first two weeks, and a plan for who drives you home and checks on you on procedure day.

Travelling from outside the GTA

Procedures take place at Clinic 360 in Toronto's Leaside neighbourhood, and Clinic 360 can suggest nearby hotels. Your coordinator will tell you how long to stay close by after your procedure. Follow-up then continues virtually or at our Brampton or Mississauga clinics.

Next step

Talk it through with our team.

A free consultation, by video or in person, with no obligation.